New treatment for plantar fasciitis (fascia inflammation) developed by Dr. Filip Parmentier.

Plantar Fasciitis: Causes, Symptoms, and Treatment

Plantar fasciitis, also known as fascia inflammation, occurs when the attachment of the plantar fascia under the heel becomes irritated or inflamed. In the past, it was believed that a heel spur was the primary cause of heel pain. A heel spur is a bony outgrowth under the heel, but research has shown that it rarely causes pain. In most cases, the pain results from inflammation or irritation of the plantar fascia.

What is Plantar Fasciitis?

The plantar fascia is a strong connective tissue structure that runs from the heel bone to the metatarsal bones. It absorbs shock during walking and running and helps support the foot arch. The attachment under the heel is exposed to significant forces, making it susceptible to overuse.

Causes of Plantar Fasciitis

Overuse from intense physical activities such as running and walking

Prolonged standing or walking, common in professions that require standing work

Excess weight, which places extra pressure on the plantar fascia

Foot structure abnormalities, such as flat feet or high arches

Aging, which reduces the quality and elasticity of tendons

Overuse leads to microscopic damage in the fascia tissue. Normally, the fascia repairs itself, but due to its poor blood supply, this process can be slow. If healing does not occur, tendinosis develops—a failed attempt by the body to repair the fascia, causing the formation of new blood vessels and nerve fibers. This leads to pain and slows recovery.

Symptoms of Plantar Fasciitis

Pain under the heel, especially during the first steps in the morning

Tenderness and stiffness after rest

Worsening pain after prolonged standing or walking

A burning or stabbing sensation under the arch of the foot

Diagnosis and Examination

Plantar fasciitis is typically diagnosed based on symptoms and a physical examination. If there is doubt, an ultrasound or X-ray may be performed. Sometimes, a diagnostic injection is used to pinpoint the exact source of pain.

Treatment of Plantar Fasciitis

In many cases, plantar fasciitis heals on its own within 12 to 24 months. If the pain is manageable, it is recommended to wait and reduce activity. Possible treatments include:

Physical therapy: Focuses on strengthening and stretching the plantar fascia

Orthotic insoles: Reduce stress on the fascia and correct foot alignment

Shockwave therapy: Stimulates blood circulation and speeds up recovery

Anti-inflammatory medication or painkillers: Help reduce pain and inflammation

Night braces or taping: Support the plantar fascia and reduce tension

Push Med Foot Brace FP – A New Treatment for Plantar Fasciitis

The Push Med Foot Brace FP was specifically designed by my colleague, Dr. Filip Parmentier, for people suffering from plantar fasciitis and heel spurs. This brace helps relieve tension on the plantar fascia (fascia plantaris) and promotes faster recovery.

How Does the Push Med Foot Brace FP Work?

The brace provides a controlled stretch to the plantar fascia and Achilles tendon, helping to reduce tension, especially at night.

With gentle dorsiflexion (keeping the foot slightly lifted), the fascia remains stretched, reducing morning pain and stiffness.

The support helps prevent overuse and further damage to the fascia plantaris.

Benefits of the Brace

✅ Specifically designed for plantar fasciitis and heel spurs
✅ Relieves morning pain and supports recovery
✅ Comfortable and easy to wear (even at night)
✅ Allows natural foot movement

Advanced Treatment Options

If the above treatments do not provide sufficient relief, additional options include:

Cortisone injection: Reduces inflammation and pain, though the effect may be temporary

ACP injection (Autologous Conditioned Plasma): Speeds up healing by using growth factors from the patient’s own blood

Ultrasound-guided surgery (Tenex procedure): A minimally invasive procedure that removes damaged fascia tissue

Open surgery: Considered only for severe and persistent cases

Recovery and Prevention

Recovery from plantar fasciitis requires patience. Over time, the body removes micro-damage and regenerates healthy fascia tissue. Preventative measures, such as wearing proper footwear, allowing adequate rest, and strengthening foot muscles, can help prevent future issues.

Do you suffer from heel pain and want to find the best treatment for your condition? Contact mijnhuisarts.gent for a personalized treatment plan.